Collaborative desk with laptops and documents, top view

Everything that matters about bookkeeping for medical practices in Realp

Bookkeeping for medical practices in Realp rests on three pillars: federal law that applies across Switzerland, cantonal deadlines worth knowing, and tools that eliminate re-keying. This guide puts it all in order, fact by fact.

The Swiss legal frame for bookkeeping

In Switzerland, the duty to keep accounts stems from art. 957 ff. of the Code of Obligations. Legal entities (Sàrl, SA) and sole proprietorships with at least CHF 500,000 in revenue keep full accounts: balance sheet, income statement and notes. Below that threshold, a simplified record of income, expenses and assets is sufficient.

Art. 957a CO requires complete, truthful and systematic recording of transactions, each entry backed by a supporting document. For bookkeeping, that means in practice: no movement without a receipt, and an audit trail that can be reconstructed at any time — including during a VAT or AHV inspection.

Digitalising bookkeeping: what actually works

Security is part of digitalisation: named access, tested backups, encryption of sensitive data. A digital accounting file is protected like a safe — because it is one.

The winning pair for bookkeeping: a single inbox (e-mail, scan, photo) and one simple rule — no document sits more than a few days without a proposed entry.

Outsource bookkeeping or keep it in-house?

Outsourcing does not exempt you from understanding: an owner who can read the balance sheet and the income statement challenges the fiduciary better — and pays for advice, not re-keying.

A clear mandate agreement states who does what by when: document handover, posting deadlines, filing calendar, and responsibility for delays. A shared platform (same data, same document archive) between the company and its fiduciary eliminates binder ping-pong and duplicate entry.

Collaborative desk with laptops and documents, top view

A Swiss SME's accounting calendar

January: salary declaration to the compensation office and salary certificates. End of February, May, August, November: quarterly VAT returns (effective method), each to be filed and paid within 60 days after the quarter ends. Within six months of year-end: approved annual accounts. Then: the tax return under cantonal deadlines, with extensions possible.

The useful reflex: date every obligation the moment it arises. An employee hired means AHV/LPP deadlines created; VAT registration means a filing cycle set; a closing date fixed means backward planning of the close. Well organised, the bookkeeping calendar fills itself.

Realp: what changes, what does not

Sole proprietorship, Sàrl or SA in Realp: the AHV contact remains the competent compensation office, and taxes follow the scales of the canton Uri.

Federal deadlines do not move in Realp: VAT within 60 days, salary declaration in January, 10-year record retention — postal code 6491 changes nothing about those rules, only the sender's address.

Frequently asked questions

When must a business register for VAT?

As soon as its worldwide annual turnover reaches CHF 100,000 (CHF 250,000 for non-profit sports or cultural associations). Below that, voluntary registration remains possible and often makes sense to reclaim input VAT on investments. The threshold is federal: it applies in Realp as everywhere in Switzerland.

How much does bookkeeping cost in Realp?

It depends on document volume, the number of salaries and VAT complexity — no serious figure can be quoted without examining the file. Two levers cut the bill everywhere: digitised, well-filed receipts and software that prepares entries instead of having them re-keyed.

What is simplified bookkeeping and who can use it?

Sole proprietorships and partnerships under CHF 500,000 of revenue may limit themselves to recording income, expenses and assets (art. 957 para. 2 CO). Once over the threshold — or upon founding a Sàrl or an SA — full accounts with balance sheet, income statement and notes become mandatory. The CHF 500,000 threshold is assessed the same way in Realp.

What are the current Swiss VAT rates?

Since 1 January 2024: 8.1% (standard), 2.6% (reduced — for example food and medicines) and 3.8% (accommodation). Returns must be filed and paid within 60 days after the period ends (quarterly under the effective method, semi-annually under the net tax rate method). These federal rates apply unchanged in Realp.

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Switch to accounting that keeps itself up to date

MyFiducia.ai automates bookkeeping for businesses in Realp: AI-read documents, posting suggestions, VAT and exports ready for your fiduciary. Try the platform or browse our other guides.

The application is operated in French.

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